Impact of applicant and program factors on preference signaling outcomes in otolaryngology

Abstract Objectives To assess the impact of applicant and program characteristics on preference signaling outcomes during the 2021 and 2022 application cycles in otolaryngology. Methods The Texas Seeking Transparency in Applications to Residency survey was used for otolaryngology applicants during t...

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Main Authors: William J. Benjamin, Nicholas R. Lenze, Pratyusha Yalamanchi, Janice L. Farlow, Angela P. Mihalic, Lauren A. Bohm, Marc C. Thorne, Robbi A. Kupfer
Format: Article
Language:English
Published: Wiley 2023-04-01
Series:Laryngoscope Investigative Otolaryngology
Subjects:
Online Access:https://doi.org/10.1002/lio2.1025
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author William J. Benjamin
Nicholas R. Lenze
Pratyusha Yalamanchi
Janice L. Farlow
Angela P. Mihalic
Lauren A. Bohm
Marc C. Thorne
Robbi A. Kupfer
author_facet William J. Benjamin
Nicholas R. Lenze
Pratyusha Yalamanchi
Janice L. Farlow
Angela P. Mihalic
Lauren A. Bohm
Marc C. Thorne
Robbi A. Kupfer
author_sort William J. Benjamin
collection DOAJ
description Abstract Objectives To assess the impact of applicant and program characteristics on preference signaling outcomes during the 2021 and 2022 application cycles in otolaryngology. Methods The Texas Seeking Transparency in Applications to Residency survey was used for otolaryngology applicants during the 2021 and 2022 match years. The primary outcome of interest was signal yield, defined as the number of interviews at signaled programs divided by the total number of signals sent. Associations with applicant‐reported characteristics, geographic connections to programs, and program reputation were assessed. Results On average 59.5% of signals resulted in an interview (signal yield). There was a positive correlation between the number of signals sent to a program with a reported geographic connection and signal yield, with each additional signal resulting in a 3.4% increase in signal yield (p = .03). Signal yield was positively associated with number of publications (p < .001); number of abstracts, posters, and presentations (p = .04); and whether the applicant took a research year (p = .003). Applicants with higher USMLE Step 1 (p = .01) and Step 2 (p = .003) scores, publications (p = .03), volunteer (p = .008) and leadership (p = .001) experiences received a lower percentage of their total interviews from signaled programs whereas applicants from the 3rd (p < .001) and 4th (p = .03) cumulative class ranked quartiles received a higher percentage of their total interviews from signaled programs. Conclusions Signal yield appears to have a significant association with geographic connections to programs and applicant competitiveness. This study may help applicants, advisors, and programs maximize the benefit of the preference signaling system. Levels of evidence: Level 4.
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spelling doaj.art-834308334d314e0a9343253e5adaadd92023-04-20T11:45:42ZengWileyLaryngoscope Investigative Otolaryngology2378-80382023-04-018240140810.1002/lio2.1025Impact of applicant and program factors on preference signaling outcomes in otolaryngologyWilliam J. Benjamin0Nicholas R. Lenze1Pratyusha Yalamanchi2Janice L. Farlow3Angela P. Mihalic4Lauren A. Bohm5Marc C. Thorne6Robbi A. Kupfer7University of Michigan Medical School Ann Arbor Michigan USADepartment of Otolaryngology—Head and Neck Surgery University of Michigan Medical School Ann Arbor Michigan USADepartment of Otolaryngology—Head and Neck Surgery University of Michigan Medical School Ann Arbor Michigan USADepartment of Otolaryngology—Head and Neck Surgery The Ohio State University Wexler Medical Center Columbus Ohio USADepartment of Pediatrics University of Texas Southwestern Medical Center Dallas Texas USADepartment of Otolaryngology—Head and Neck Surgery University of Michigan Medical School Ann Arbor Michigan USADepartment of Otolaryngology—Head and Neck Surgery University of Michigan Medical School Ann Arbor Michigan USADepartment of Otolaryngology—Head and Neck Surgery University of Michigan Medical School Ann Arbor Michigan USAAbstract Objectives To assess the impact of applicant and program characteristics on preference signaling outcomes during the 2021 and 2022 application cycles in otolaryngology. Methods The Texas Seeking Transparency in Applications to Residency survey was used for otolaryngology applicants during the 2021 and 2022 match years. The primary outcome of interest was signal yield, defined as the number of interviews at signaled programs divided by the total number of signals sent. Associations with applicant‐reported characteristics, geographic connections to programs, and program reputation were assessed. Results On average 59.5% of signals resulted in an interview (signal yield). There was a positive correlation between the number of signals sent to a program with a reported geographic connection and signal yield, with each additional signal resulting in a 3.4% increase in signal yield (p = .03). Signal yield was positively associated with number of publications (p < .001); number of abstracts, posters, and presentations (p = .04); and whether the applicant took a research year (p = .003). Applicants with higher USMLE Step 1 (p = .01) and Step 2 (p = .003) scores, publications (p = .03), volunteer (p = .008) and leadership (p = .001) experiences received a lower percentage of their total interviews from signaled programs whereas applicants from the 3rd (p < .001) and 4th (p = .03) cumulative class ranked quartiles received a higher percentage of their total interviews from signaled programs. Conclusions Signal yield appears to have a significant association with geographic connections to programs and applicant competitiveness. This study may help applicants, advisors, and programs maximize the benefit of the preference signaling system. Levels of evidence: Level 4.https://doi.org/10.1002/lio2.1025graduate medical educationotolaryngologypreference signalingresidency application
spellingShingle William J. Benjamin
Nicholas R. Lenze
Pratyusha Yalamanchi
Janice L. Farlow
Angela P. Mihalic
Lauren A. Bohm
Marc C. Thorne
Robbi A. Kupfer
Impact of applicant and program factors on preference signaling outcomes in otolaryngology
Laryngoscope Investigative Otolaryngology
graduate medical education
otolaryngology
preference signaling
residency application
title Impact of applicant and program factors on preference signaling outcomes in otolaryngology
title_full Impact of applicant and program factors on preference signaling outcomes in otolaryngology
title_fullStr Impact of applicant and program factors on preference signaling outcomes in otolaryngology
title_full_unstemmed Impact of applicant and program factors on preference signaling outcomes in otolaryngology
title_short Impact of applicant and program factors on preference signaling outcomes in otolaryngology
title_sort impact of applicant and program factors on preference signaling outcomes in otolaryngology
topic graduate medical education
otolaryngology
preference signaling
residency application
url https://doi.org/10.1002/lio2.1025
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